MARK KELLAND HERSCHEL M.D. NPI 1124083068

NPI Information

NPI: 1124083068
Provider Name: MARK KELLAND HERSCHEL, M.D.
Classification: Ophthalmology - 207WX0120X
Entity Type: Individual

Specialization: Cornea and External Diseases Specialist

PECOS Registration: Yes

Address:
5452 LAKE HOWELL ROAD
WINTER PARK, FL
ZIP 32792
Phone: (407) 894-8081
Get Directions

Mark Kelland Herschel, M.D. is a cornea and external diseases specialist ophthalmology in Winter Park, FL with 37 years of experience. The provider is an ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. Mark Kelland Herschel, M.D. NPI is 1124083068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

5452 LAKE HOWELL ROAD
WINTER PARK, FL
ZIP 32792
Phone: (407) 894-8081
Fax: (407) 894-8082

The NPI 1124083068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		ME77485	FLORIDA	No
2	207WX0120X	Ophthalmology	Cornea and External Diseases Specialist	ME77485	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	400650	OTHER	FLORIDA	GHI
2	20922	OTHER	FLORIDA	BCBS
3	2439416	OTHER	FLORIDA	AETNA HMO
4	25622700	MEDICAID	FLORIDA
5	1476870	OTHER	FLORIDA	CIGNA
6	209665	OTHER	FLORIDA	WELL CARE
7	5014060	OTHER	FLORIDA	AETNAPPO/POS
8	1689235	OTHER	FLORIDA	UNITED HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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